Camille Munganga, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19525 Issued in CA

Practice address

4182 N 1St St
Suite 105
Fresno, CA 93726-4313

Phone

(559) 224-3300

Fax

(559) 224-3306

NPI assigned

Jul 27, 2010

Last updated

Jan 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Urgent Care a Medical Corporation

  • Urgent Care Clinic/Center
  • Fresno, CA
  • NPI 1245767102
  Medicare reassignment NPD Authorized official
• Neighborhood Walk in Clinic

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1467792176
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1225342785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 N 1ST ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264313",
            "telephone_number": "559-224-3300",
            "fax_number": "559-224-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 N 1ST ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264313",
            "telephone_number": "559-224-3300",
            "fax_number": "559-224-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGANGA",
        "first_name": "CAMILLE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multi Therapy Fresno
• Katherine Mulvey, O.D.
• Raymond Mulvey, O.D.
• Mum's Home Sweet Home, Inc.
• Craig R Mundy, DDS
• Alma Flor Munguia
• Yanett Munguia
• Jason Ivan Muniz Contreras
• Brooke Muniz
• Francisco David Muniz

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.